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HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: 31 IC019 Permit ICam&ur: Builaing Permit Applicatiun Planning and Development Services Building and Code Regulation Division 2300 Virginia avenue, Fort Pierce FL 3;,982 _ Phone: (772) 462-1553 Fax: (772) 462-1578 l.ommurCial R;~AEntial PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line PRUPUSEQ IIOINROVEMEN I EULA I ION: n Address: ) 3 FS av rjQQ, h e R L , —, r+ _ta _ Cegal Description: NO -r 11 r irU CO--itt Pty 14) Lb4-Iao _ Property iax IDR: 3.�a 156 -D= - Lot No. R .1iLe Plan Mame: 61oeR Mo. Project Mame: UD I-Q, mr:1 zeLbacks Front lack: RighE aiae: Cen ziae: DE IRIE>=O DBILRIP I IUM ul- WuRK: RGplacc AC, enact chan-yB oat ,With 3.5 ton, J SEER, ID KW AC unit WR51 ROLI IVIS IRFUKIVIAI IUM: Additionalwork Lobe pertormea uncler thispermit -c ec all tfta appy: URVM []Gas Eank DGas Piping _ �1lutters Q vvin0owsjDoo,, Electric 0 Plumbing ❑ sprinklers El Generator ROOT Root Pilch Total Sq. FL of ConstruCdon: .a Ft. or First Floor: Cost or Construction: $ _te Utilities: Ij Sewer []Septic Building Heigh.: OWivER/[ESSEC: - CuI4 I RAMI UR: - Name Name: Dennis Zacek HOBress:. 1 nZs .Pf Company: ARS American Residential Services CIT,: Or+ mak" 1i-1 r btate: PL Address: 2860 US Hwy 1 Zip Code: g tj 9_ &g Fax: "' City: Vero Beach State: FL Phone No. jK5- 137- 9239 Zip Code: 32960 Fax: E-Mail: _ "A ' Phone No. 7 A- 7 -7;tD Fill in ree simple i itle Floitlwr wn next page S It different E-Mail: CM1d9fAJ&j1ZL 11 J+0S . ca Ft from the Owner listed above) State or County License: CMC1249753 If value of construction is $zu0; or more, a RcCURUrV Notice of Commencement Is requireB. UP -M MENTAL CC), Mi i RtjtT-I.'019 LI tN. MW I 19MURM. A7IQN: Name: _ Addresa: City: Zip: Phone: Not Stat': FEE SIMPLE TITLE HOLDER: _ Nut Applicable Dame: mddrest,: City: Zip: PhonC: MORTGAGE COMPANY: Name: Addrzzs: Cinr: Lip: Phone: X Not ANNIicable Stat;=: BONDING COMPANY: Not Applicable Dame: NBGress: City: tip: Phone: I certify tH.t no wo, k or installotlon fi.s carrimenccd p, io-f to tFle is.aznce of,. permit. 3t. EuCcie flaunt makes no representation that is granting a permit will authorize the ermit holder to build the subject strutTure W lilcli IS IR CV.I lict with am a pCco6le Homc UvvRC,3 AS3ocla[lon .ale3, Brl.w. or oma ro„e,.ants tRat ma, re.trict or pron16it such structure. Please consult wit your name Owners Association ana review your oeen ror any restrictions wRicP may apply. In conslaeratlon of tie granting of this requested permit, I Do hereBy agree Leat I will, In all respects, perform the worn in oCe0ri9onee -itR tide apprv7ci7 Plan., the Flepina I5eilak6 Codes ana m. [ecic Cventy AR.ria :crit... TFIe rvliOrrins Buildlne permlt opplic.tiam. arc =Tempt rrvn7 aridcrjoing a fall cOiicQrrcncy ru ic—m r...orr, 4aditiwm3, accessory strutTures, swimming pools, Iences, walls, signs, screen rooms anD accessory uses to anotRer non-resillential use vvNRl91111113 10 UvvRErc: your railure to Record a Notice or Commencement may result in your paying twice ror impruvumEM3 to your property. A Notice of Commencement must be retarded and posted on the jobsite before the first inspection. If you intend to oBtain financing, consult with lender or an attorney Be -Tore commencing work or recording your _NoLICE of Commencement._ _)ionaiure or er/ Eessee/Agent STATE OF FLORIDA COUNTY OF z-, L---. The fo oing instrument acknowledge efore me tRiz � a., of Mitt � V 1 nr s Signature of Contra ^ r/License Holder STATE OF FLORIDA COUNTY OF StLuoe The for oing instrument was acknowledged efore me this day offfla20 by Personally Known ^ OR ProMucetl Identification Type of Identification Produced t-ommission Ro.c t�� f, 53 5 (3eal) Revised 07/15/201 :'. My COMMI SION # GG071535 EXPIRES Fatirmua9.2021 Personally Known x OR Produced Identification Type of Identification Produced Commission No.C1l--`►l.[1����q (Seal) My COMMISSION N GG071535 REVIEWS FRONT LUNINU COUNTER REVIEW PLANS REVIEW VE REVIEW VE REVIEW ]UNtrtvlSUK REVIEW SLA IUKILL REVIEW UAIL COMPLETE INITIALS Ins rallarion rr 0. � Z A Elt• Mart wale 9 1772) 587-3100 Ee. 1715e+pletion Dote �,ighe 2800 05 RigRw-y 1, vele Be.M, FC 32860 Corporate Customer Making it work. R1tm g —Mcan Residential Sewing d Florida, Inn Relei.ivns - . t re, Grr66"6s7a, Gf 81,3e4ee (666)898 98.9 VJ IA:kFTSr 'nen 1t.'i►G"F - iii; l('��? 1L'y'�'� - r: e RIONTH LY EST.* $ C051L)MER 1NITIACS Onless oinerwise ER IICRIAES FlgoRc 5I/_E TYPE EFFICIEIgUY $ tiUSTOTAC $ IGICNIRLY EST.* $ CE15lUPI ER INf11ACS Labor I W iy:T1L:6LParts 4 L.a)ker I vtr.,Renty.t Pana Labor .g., L:!vompressor .re from tnw ...-ufacterer. Plywood Deck _.___....__. Weeenneet Drain Ci..e fetime Egoipmwnt 51-b ❑T��il.ny Saver nit ound Isolation Pauus Man ill Moat1 gai8 i de Conan t lRuf6g.ram (Main Drain Safe�y -o itw art Kit So..l lacR Coarrecti„aa LL Dyer_ 0 Support odic Equipment 0 R.fritleren rpe D 4, : .connev, i_opply Pic¢�m Idew l(Reeonnect Cebr �Raam Pfe cm passion Valve -'.New WReconnecl t�ftrigerant`Pipe -Typor`nnect to Existing ❑ i0leiio Fhcr ectrical In Pvv ❑ UV Light _ 15 1'lumidiver ❑ Vago.midificr - ❑ Outdoor Unit Pau ❑ Flue Venting ❑ CuctwoR! Connectior as- ❑ Connect to essw rd Plenum ❑ Duct M5a.ficrrion.- flee Notes for scope of work) ❑ Nen Dart 5yate444 ❑ No uret Werk ❑ Fowl Piping IJ Electrical vv-nng 0 Flerne S.Rioe Yl,.n 1 ]erm (364 a.ye) Gu-mritoetul:-m me Yretectien Gwarm7tee Service Guarantee Uncon'oitionm Money -Dant Guarantee -Ce ... pm000r Feat Exccrger 3r-1ELTel7 OPT1OR: W1 02 ❑3 5OBTOTAC $ 3 _ TO,AE $ Zl ❑ CA5R ❑ CRECR# l/ ii `` I} CREu11 URD {1_151 4#0 iXP APPRuvA[ In rIMmMC;IMG* •tsa,—w.t .*Nona _vWWA with Wirroved credit ARS i_ net roaporiaible ter lip,--i.,tirig doetw.FE See le..—. a,d Condkivne on the back of this document for Uetails. • Writt— eo�Iwmcr-utficrflation will be o6t.;.r.wd Before say unforeseen sd'udio= or extenoe'o woRC • ANY 17CAll915 FOR CONSTRUCTION DEFECTS ARE SUBJECT TO r ni• It 75CE AND U0RE PRr:rll15101115 OF CHAPITK 558. FWRIDA 5TAI U I FS. • BUYER'S RIGHT TU CANCEL: This is a home sollOtauon sale, an'a IF you Co not want the goods or services, you may can�.1 thiN agree.—�.ent by providing wrl..en nonce to the seller In person, lay telegram, or 6y mail. Thio ;;auae must i..dlecter tnnt you do n.,t rant the woods or services ant; must Be aeliverea or postmarKea ueiare midnight at the third 6.. zincoe idoy -fter you sign this agreement. IF you cancer Lnrs agreement, the seller may not Keep at1 or p,.rt of ..IIT cee6 8tv--., p.yme..L see the reverse side hereof For an explanation of thlS right • 1 acRnowiedge that my right to --.-...._I Pi® been ezpla;nea to me v ally ...d is .ri;ine, -.a whhoot Waiving my right to cancel, I authorize the performance of the --clK ..object to .11 term.-. d conditions se, forth un ;Fie reverse side hereof, plus any taxes upon completion. Notice To owner - Do net s;,,R this ham. imp.—ornery Vr4=1 in bI...k. You are ontigud to a copy of the contract at the time you r. gn. KIM ' e protect y or legal 'ghts. This 5 . in Tomo.,, oon.reci may ai a mortg therwise create a lien on your property tri But . e o not pay. Be ' rstanh a pro 'ria of t co beta Jew I„R, >w CONATURE � oln n �pe RF eer.,elt! ..Iart,,,�Rz DATE-�/""-^-� r w 2u7 0 mesion Rnidentisl 15.6611 LLC. AD rghh reserved. ARS:e-e :::s:_��li ��-2f Anru I o.05a Rat. cv Nom6.r - 9589434 Date : yr ,rzu Izr IMM91 Staft : ACdVv ARRI Tyne : RCU-A-..a renes : %ZMIrDR i i4 AC Domoor Dnit 6rond Name. CARRIER Outdoor Unit Model Num5er jwnuonser or 3irigM Paciiage) : c4A%uw2AT 1u' in'uoor unit mMMI IGuml3er (Evaporator onWar Air rf..ftflor) : F84CNr04zC R-7:,, :. svetne-1..,Cl North (AL, AR, DC, DE, FL, Grt, RI, RT. M RID, RIS, KC, krR, 5C;. i m, ix, vA, Arc, U13, CT, tu, IL, ffil, in, Ru, RIR, me=, 1411, III% 1713, PIT, AD, NE, MR, Mi. NY, OH, OR, PA, RI, 50, UT, VT, WA, vvv, vvl, vv r, 0.3. 1 crritorica) R -,13n Net.: CenTfal a"r cenaitioners manufaMM prior M vanuary e, 40 rD are eiigiuM to oe Install5a in ..It .-.rano until 3une 3u, zD in, Begin .1% ,Ialy 1, 2015 central oir o.naifonars Gan only be inamalled In reglon(si or whim they meet the re-vional eluent y requirement. I no rnanTctuur .,t thio CARRIER produM is responsible iur ure rating of tris system comoinotian. RJeo ..0 Tallow.o in .,eeonlanae with ffie latest edition of ANSI AHRi z i Orz4u mu a Aa5en0a r an0 z, PeRormaFM RZItiny .T Drlt -, mir-ConGiZoning a rdrvource !feat Pump Equipment aRs tan oct toreti..�y _eeeme y 6y ARRI-sponsored, indepe, K,enr, mire parts testing i.Oflling Capacity (Az) - sl. -.le er Rign Sta..:: (951=), 6tuli : 39500 StER : 14.00 EEr, Zrizr - 3ingle or RigR Stage (=F) - i r.ou I . ,.* Model Status are those that an ARRI Certification PM0111m Participant Is mRently producing AND stiffing or offering for sale: OR new models that are tieing marketed but-. "o.ye< being p,,.,,..,ced'Production Swpp@f Model Status are those that as ARRI Certification Progium P.rtkipan: w no long, p-.ang E07a sL„ saltingoffering t . =Is. Ratings that _--coompanled by WAS indican a., irevorantary re -rate. The new puonsneo rating Is shown ..tong with this previoas (i.e. WAS) rating. DISCLAIMER AHRI d-. nm c.-,a.rse rn. produei�sr listed on this Certificate and makes rt_ mp—ntatiom,-rrentles or F_unwea no -ornes,.o responsiblllry for, the prodoM7.) listed an :his Certifica.a. -Rrsi -pressly disclaims all liability for damages of any kind _rlsi.,g bot of the - or perform -n- of Fhn prodomi.1, or the unauthorized-Ite._tloa of d-ta listed en this Certifictim Ce, raw„Ss ter. valid only for models and configurations listed in thu directory at TERMS AND CONDITIONS This Certifi_zia and Its ooatFnts -re pupdetary prodo . o, „H;�, „is certificate shall only be used for Individual, pewanel -nd confidential reference purposes. The _ntants of this Certificate may nog In Rfi.,a or in pn.T, .. reproduced; copied; disseminated; entered Into a computer database; or otherwise utillad. In _n; fo. -, or moaner or by -ny mo -..s, c=cpt ,-ar tnc user's individual, personal avid eon..aen.ial r.-..mn—. CERTIFICATE VERIFICATION 'the information for the model cited on this certificate wr, b■ -riNod at cll..k .n - ” link ....d cn.er the „HRI verdrto. Rawrence Number and the date on which the ovrtifi-l_ mm issnatt whish Is listed -bow, ,.red th- Certlfic zz No., TrM.11 Is lisrcd at bottom digit. ©2019AIr-Canditionin6, Heating, and Refrigeration Institute CERTIFICATE NO.: 7319743504172379100